(01-31-2019 09:04 AM)georgia_tech_swagger Wrote: I'm not sure that just price transparency alone is enough to make for an efficienct Bismarck scheme. We'd probably need to federally eliminate "certificate of need" laws. And that means a lot of really insanely rich people running "medical campuses" are going to find themselves and many of their colleagues financially untenable in a free market. They have the money politically (obviously) to stop that from happening.

The bills aren't about price transparency, rather price setting. If a provider is out-of-network and wants $1000 and insurance is offering $200 with the patient on the hook for the remaining $800, it goes to arbitration to set a price.

Eventually arbitrators will determine enough of the cases that everyone in the business will know what they are likely to get and will settle at that price point.